Active NPI
Franciscan Medical Group
Doing business as Franciscan Medical Clinic-Federal Way
- Family Medicine Physician
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FRANCISCAN MEDICAL GROUP
- Doing business as
- Franciscan Medical Clinic-Federal Way
- Practice address
- 30809 1St Ave S
Federal Way, WA 98003-4074 - Phone
- (253) 839-2030
- Fax
- (253) 839-1091
- NPI assigned
- Jul 11, 2006
- Last updated
- Jul 2, 2012
- Organization subpart
- Yes
- Parent organization
- FRANCISCAN MEDICAL GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cliff Robertson, MD
- Title
- Chief Medical Officer
- Phone
- (253) 779-6101
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Radiologic Technologist | 247100000X |
Addresses
Primary practice location
30809 1St Ave S
Federal Way, WA 98003-4074
Mailing address
30809 1St Ave S
Federal Way, WA 98003-4074
Phone (253) 839-2030
Other names 1
- Franciscan Medical Clinic-Federal Way
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000789 | WA | Part B Supplier - Clinic/Group Practice | 0547173866 |
Receives reassigned benefits from 1,720 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- CHI Franciscan Health
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba St Michael Medical Center
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
Member Of
-
dba St Joseph Gig Harbor Same Day Surgery Center
- Ambulatory Surgical Clinic/Center
- Gig Harbor, WA
- NPI 1740311562
Member Of
Locations
30809 1st Ave S
Federal Way, WA 98003
Phone (253) 839-2030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Burien, WA
- NPI 1043289796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341187200000",
"number": "1891729901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30809 1ST AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980034074",
"telephone_number": "253-839-2030",
"fax_number": "253-839-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30809 1ST AVE S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980034074",
"telephone_number": "253-839-2030",
"fax_number": "253-839-1091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCAN MEDICAL GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
"enumeration_date": "2006-07-11",
"last_updated": "2012-07-02",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "CLIFF",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "253-779-6101",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Franciscan Medical Clinic-Federal Way",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Federal Way, WA
- Franciscan Medical Group (Fransican Women's Health-FW (OB Hosp))
- Franciscan Medical Group (Franciscan Vascular Associates - Federal Way)
- Franciscan Medical Group (Pacific NW Maternal Fetal Medicine Federal Way)
- Franciscan Medical Group (Franciscan Women's Health Associates at St. Francis)
- Franciscan Medical Group (Franciscan Digestive Care Associates-Federal Way)
- Franciscan Medical Group (St. Francis Medical Clinic)
- Betsy Cristhine Francisco Cervantes, RN
- Francisco Jose Perez Mata PLLC (Puget Sound Endocrinology)
- Courtney McKee Francisco, MD
- Melanie Callos Francisco, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.